Article2018

Spiritual and religious coping and depression among family caregivers of pediatric cancer patients in Latin America

Luciano Magalhães Vitorino · Luís Carlos Lopes‐Júnior · Gabriela Hernandes de Oliveira · Mariane Tenaglia · Andressa Brunheroto · Paulo José Oliveira Cortez +1 more

53 citations0/0 files storedPsycho-Oncology

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Religion, Spirituality, and Psychology Cancer survivorship and care Palliative and Oncologic Care

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Abstract Objective Several studies have shown that spiritual/religious beliefs are associated with mental health and quality of life. However, so far, no study assessed the relationship between spiritual/religious coping (SRC) and depressive symptoms in family caregivers (FCs) of pediatric cancer patients, particularly in Latin America. This study aimed to investigate whether Positive and Negative SRC strategies are associated with depressive symptoms in FCs of pediatric cancer patients in Brazil. Methods We conducted a cross‐sectional study comprising 77 FCs of pediatric cancer patients from one Brazilian Pediatric Oncology Institute. Spiritual/religious coping was assessed using the Brief SRC scale, and depressive symptoms were evaluated by the Beck Depression Inventory. Multiple regression models were performed to identify factors associated with SRC of FCs and their depressive symptoms. Results In the unadjusted linear regression models, depressive symptoms were positively associated with Negative SRC (B = 0.401; P < .001; Adjusted R2 = 16.1%) but not with Positive SRC (B = 0.111; P = .334). After adjusting for socio‐demographics, religious practice/faith, and health, Negative SRC remained associated with depressive symptoms (B = 3.56; P = .01; Adjusted R2 = 37.8%). In the logistic regression models, depressive symptoms were positively associated with Negative SRC (OR = 3.68; 95% CI, 1.46‐9.25; P = .006), but not with Positive SRC (OR = 1.49; 95% CI, .69‐3.22; P = .309). After adjustments, Negative SRC remained significant (OR = 4.01; 95% CI, 1.21‐13.33; P = .023). Conclusions Negative SRC was associated with depressive symptoms in FCs of pediatric cancer patients. Health professionals must be aware of the use of Negative SRC strategies in oncology care.

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References

1988Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation 1998Development of the World Health Organization WHOQOL-BREF Quality of Life Assessment 2012Religion, Spirituality, and Health: The Research and Clinical Implications 2000The many methods of religious coping: Development and initial validation of the RCOPE 2011The Brief RCOPE: Current Psychometric Status of a Short Measure of Religious Coping 2007Religiousness and Spiritual Support Among Advanced Cancer Patients and Associations With End-of-Life Treatment Preferences and Quality of Life 1996Validation of a Portuguese version of the Beck Depression Inventory and the State-Trait Anxiety Inventory in Brazilian subjects.2012Validation of the Brazilian Portuguese Version of the Beck Depression Inventory-II in a community sample

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